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Patient Registration

Please read the following documents and complete the below forms before your first visit

Patient Registration: News

HIPAA Privacy Notice

Financial Policy

Print & Complete

Patient Registration: News

Daulton PT Consent Form / HIPAA

Confidential Patient Information Form

Medication Form
(2+ prescriptions)

Consent to Treat Minors

Senior Therapy

Insurances Accepted

  • Cigna

  • Anthem/ BCBS

  • Health Partners

  • Medica

  • Medicaid Plans

  • ​UMR

  • Medicare

  • MultiPlan

  • Preferred One

  • ​UHC

  • ​All Workers Comp Plans

  • Auto Insurance

Patient Registration: Inner_about
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